Gloria Sura, MD
@Gloria_SuraMD
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Cytomolecular Pathologist @MDAndersonNews | Sharing images in pathology 🔬
Houston, TX
Joined March 2022
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Endoscopic fine needle aspiration of a mass in the head of the pancreas. What is the diagnosis? Answer:
#PathArt
#PathTwitter
#Cytopath
#Pathology
19
43
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Bronchoalveolar lavage revealing larvae of the nematode Strongyloides stercoralis.
#PathTwitter
#Pathology
#Cytopathology
#CytoPath
#Microbiology
35
282
1K
Bronchoalveolar lavage revealing Strongyloides stercoralis. Parasitic roundworms are seen coiled among alveolar macrophages.
#PathTwitter
#PathArt
#Microbiology
#MedTwitter
#Parasites
24
201
902
Bronchoalveolar lavage revealing a parasite coiled among alveolar macrophages. What is the diagnosis? Answer:
#IDTwitter
#PathTwitter
#MedTwitter
#CytoPath
#Cytopathology
#Cytology
#PathArt
59
173
725
Bronchoalveolar lavage revealing a parasite coiled among alveolar macrophages. What is the diagnosis? Answer:
#IDTwitter
#PathTwitter
#MedTwitter
#CytoPath
#Cytopathology
#Cytology
#PathArt
47
96
618
Endoscopic fine needle aspiration of a mass in the head of the pancreas. Ductal adenocarcinoma cells are seen adjacent to a sheet of benign ductal cells.
#PathArt
#PathTwitter
#Cytopath
#Pathology
20
175
597
Endoscopic fine needle aspiration of a mass in the head of the pancreas. What is the diagnosis? Answer:
#CytoPath
#PathTwitter
#PathArt
#Cytology
36
139
581
Endobronchial ultrasound guided transbronchial needle aspiration of a mediastinal lymph node revealing Histoplasma capsulatum. Histiocytes filled with small intracellular yeasts were seen on Diff-Quick stain.
#PathTwitter
#CytoPath
#Microbiology
#Pathology
#PathArt
9
150
527
Endobronchial ultrasound guided transbronchial needle aspiration of a mediastinal lymph node revealing what organism? Answer:
#PathTwitter
#PathArt
#Cytology
#Cytopathology
#IDTwitter
31
127
487
Biopsy of the small intestine revealing Cryptococcus species. Variably sized yeast with narrow based budding are seen within the lamina propria of the villi.
#PathTwitter
#MedTwitter
#Pathology
#IDTwitter
#Microbiology
6
119
465
Fine needle aspiration of a salivary gland revealing abundant crystalloid structures.
#PathTwitter
#PathArt
#CytoPath
#Pathology
#Crystals
16
97
464
Nephrectomy specimen showing thyroidization of the renal tubules. Enlarged renal tubules with flattened epithelium and intratubular casts resemble thyroid tissue.
#PathArt
#PathTwitter
#MedTwitter
11
94
453
Bronchoalveolar lavage revealing larvae of what species? Answer:
#PathTwitter
#IDTwitter
#MedTwitter
32
94
419
Cerebrospinal fluid showing variably sized encapsulated yeasts of Cryptococcus species.
#PathTwitter
#PathArt
#CytoPath
#Pathology
5
101
417
Bronchoalveolar lavage revealing what organism? Answer:
#PathTwitter
#IDTwitter
#CytoPath
#Cytology
#Cytopathology
#PathArt
37
79
408
Cervical Pap test showing a low grade squamous intraepithelial lesion. Koilocytes are pictured.
#CytoPath
#Cytology
#PathArt
#PathTwitter
#MedTwitter
9
72
400
Fine needle aspiration of a lymph node showing macrophages filled with yeasts of Histoplasma capsulatum, a dimorphic fungus.
#PathTwitter
#PathArt
#CytoPath
#Cytopathology
#Cytology
#IDTwitter
#MedTwitter
8
90
386
Pleural fluid revealing metastatic breast carcinoma.
#PathTwitter
#PathArt
#MedTwitter
#CytoPath
#Cytology
8
66
386
Fine needle aspiration of a lymph node containing metastatic melanoma. Pigmented, pleomorphic tumor cells are seen on Papanicolaou stain.
#PathTwitter
#Pathology
#CytoPath
#Melanoma
6
94
379
Thyroid nodule surgical resection demonstrating the transition from adenoma to carcinoma. Follicular cells are seen penetrating the fibrous capsule on a path to invasion.
#PathArt
#PathTwitter
#Pathology
13
95
364
Rectal biopsy revealing an unexpected well differentiated neuroendocrine tumor.
#PathTwitter
#Pathology
#PathArt
7
77
362
What fungal infection is seen in this biopsy of the small intestine of an immunocompromised patient? Answer & additional stain:
#PathArt
#PathTwitter
#IDTwitter
#MedTwitter
33
103
358
Endoscopic fine needle aspiration of a mass in the head of the pancreas. What is the diagnosis? Answer:
#PathArt
#PathTwitter
#Cytopath
#Pathology
23
69
356
Endoscopic fine needle aspiration of a mass in the head of the pancreas. What is the diagnosis? Answer:
#PathArt
#PathTwitter
#Cytopath
#Pathology
28
86
346
Endoscopic fine needle aspiration of a mass in the head of the pancreas. What is the diagnosis? Answer:
#PathArt
#PathTwitter
#Cytopath
#Pathology
22
79
344
Fine needle aspiration of a thyroid nodule revealing arborizing papillae of papillary thyroid carcinoma.
#PathTwitter
#PathArt
#CytoPath
#Pathology
7
77
335
18
57
324
Lung resections shows a mycetoma containing the dimorphic fungus Coccidioides immitis. Endospores are seen erupting from spherules. GMS stain.
#PathArt
#PathTwitter
#MedTwitter
#IDTwitter
#Fungi
5
81
331
Endobronchial ultrasound guided transbronchial needle aspiration of a mediastinal lymph node revealing what organism? Answer:
#PathTwitter
#PathArt
#Cytology
#Cytopathology
#IDTwitter
20
82
323
Fine needle aspiration of a neck lymph node revealing metastatic squamous cell carcinoma. Keratinizing tumor cells are seen among necrotic debris.
#PathTwitter
#MedTwitter
#CytoPath
#Cytology
#PathArt
11
74
324
Bronchoalveolar lavage showing a spherule containing endospores. What is the diagnosis? Answer:
#PathArt
#PathTwitter
#CytoPath
13
47
315
Bronchoalveolar lavage revealing a spherule of the dimorphic fungus Coccidioides immitis.
#PathArt
#PathTwitter
#CytoPath
#Cytology
#Microbiology
4
64
313
Bronchoalveolar lavage showing a spherule containing endospores. What is the diagnosis? Answer:
#PathArt
#PathTwitter
#CytoPath
13
70
312
Duodenal biopsy revealing larvae of Strongyloides stercoralis.
#Pathtwitter
#PathArt
#Pathology
#Microbiology
#Parasite
3
77
307
Fine needle aspiration of a salivary gland revealing what type of crystal? Answer:
#CytoPath
#Cytology
#PathArt
#PathTwitter
15
69
300
Pap test showing normal squamous cells from the cervix.
#PathTwitter
#CytoPath
#Cytology
#PathArt
#MedTwitter
4
46
291
34
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Partial colon resection revealing an incidental finding. What is the diagnosis? Answer:
#PathArt
#PathTwitter
#MedTwitter
58
57
288
Rectal biopsy revealing an unexpected finding. What is your diagnosis? Answer:
#PathArt
#PathTwitter
#MedTwitter
29
64
287
Pleural fluid containing metastatic adenocarcinoma. Tumor cells filled with pink colored mucin are pictured. Pap stain.
#PathTwitter
#CytoPath
#Cytology
#MedTwitter
#Pathology
6
64
288
Bladder biopsy revealing a calcified egg of Schistosoma haematobium, a parasitic trematode. An oval shaped egg with a terminal spine is pictured.
#PathTwitter
#IDTwitter
#Microbiology
#MedTwitter
#Parasite
7
60
285
Voided urine with calcium oxalate crystals.
#PathTwitter
#PathArt
#CytoPath
#Cytology
#MedTwitter
#Pathology
#Crystals
4
58
277
What fungal infection is seen in this biopsy of the small intestine of an immunocompromised patient? Answer & additional stain:
#PathArt
#PathTwitter
#IDTwitter
#MedTwitter
13
76
275
Lung lobectomy revealing what organism? Answer:
#PathArt
#PathTwitter
#Cytopath
#Cytology
#IDTwitter
22
71
275
Pleural fluid containing metastatic breast cancer.
#PathTwitter
#PathArt
#CytoPath
#Cytopathology
#Cytology
#breastcancerawareness
7
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27
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268
28
49
261
Pap test cytology reveals squamous cells that have multinucleation, nuclear margination, and nuclear molding. What is the diagnosis? Answer:
#CytoPath
#Cytology
#Cytopathology
#PathArt
#IDTwitter
#MedTwitter
38
57
262
Cervical Pap test revealing squamous cells showing what viral cytopathic effect? Answer:
#PathArt
#PathTwitter
#CytoPath
#MedTwitter
#IDTwitter
24
70
259
Fine needle aspiration of a thyroid nodule revealing arborizing papillae of tumor cells. What is the diagnosis? Answer:
#PathArt
#CytoPath
#PathTwitter
#MedTwitter
#Cytology
21
53
259
Fine needle aspiration of a neck lymph node. What is the diagnosis? Answer:
#PathArt
#PathTwitter
#Cytopath
#Pathology
28
45
255
Cerebrospinal fluid revealing metastatic breast cancer.
#PathTwitter
#PathArt
#CytoPath
#Cytology
#Cytopathology
#MedTwitter
9
69
251
Cytospin preparation of pleural fluid revealing "cannonball"-like metastatic breast cancer.
#PathTwitter
#PathArt
#CytoPath
#Pathology
#BreastCancer
3
75
247
Fine needle aspiration of a thyroid nodule revealing what type of tumor? Answer:
#PathArt
#CytoPath
#PathTwitter
#Cytology
21
50
247
Bronchial mucosa showing pseudostratified ciliated columnar epithelium.
#PathTwitter
#PathArt
#MedTwitter
7
43
243
Excision of a mass from the parapharyngeal space reveals a paraganglioma. Tumor cells are seen arranged in an organoid (zelballen) pattern.
#PathTwitter
#PathArt
#MedTwitter
2
67
248
What fungal infection is seen in this biopsy of the small intestine of an immunocompromised patient? Answer & additional stain:
#PathArt
#PathTwitter
#IDTwitter
#MedTwitter
19
63
241
Thyroidectomy revealing classic papillary thyroid carcinoma. Papillary structures of the tumor are seen below normal thyroid tissue.
#PathArt
#PathTwitter
#MedTwitter
#CytoPath
4
55
242
Biopsy of the small intestine revealing Cryptococcus species. GMS stain shows variably sized yeast with narrow based budding within the lamina propria of the villi.
#PathTwitter
#MedTwitter
#Pathology
#IDTwitter
#Microbiology
7
64
245
Partial colon resection revealing an incidental focus of endometriosis. Endometrial glands and stroma are seen implanted in the bowel wall.
#PathTwitter
#PathArt
#MedTwitter
#CytoPath
8
59
242
Duodenal biopsy revealing larvae of what organism? Answer: .
#PathArt
#Pathology
#IDTwitter
#PathTwitter
14
59
242
Cervical Pap smear revealing high grade adenocarcinoma, favor serous type. Necrosis is seen the the background.
5
62
237
Pleural fluid reveals large cannon-ball like clusters of cells. What is the diagnosis? Answer:
#PathTwitter
#PathArt
#MedTwitter
#CytoPath
#Cytology
13
51
236
Cervical Pap test revealing herpes infection. Squamous cells show herpes viral cytopathic effect (molding, margination, multinucleation).
#PathTwitter
#PathArt
#CytoPath
#Cytology
#Cytopathology
3
57
232
Conventional Pap smear with squamous cells demonstrating radiation therapy induced atypia.
#CytoPath
#Cytology
#Pathology
#PathTwitter
#PathArt
6
46
237
Lung lobectomy revealing a mycetoma filled with the dimorphic fungal pathogen Coccidioides immitis. Ruptured spherules are seen releasing endospores. Hematoxylin & eosin stain.
#PathTwitter
#PathArt
#Pathology
#Microbiology
#Fungi
2
70
233
Fine needle aspiration of a lymph node. Pigmented, pleomorphic tumor cells are seen on Papanicolaou stain. What is the diagnosis? Answer:
#PathArt
#PathTwitter
#Cytopath
#Pathology
26
45
227
Fine needle aspiration of a lymph node. Pigmented, pleomorphic tumor cells are seen on Papanicolaou stain. What is the diagnosis? Answer:
#PathArt
#PathTwitter
#Cytopath
#Pathology
21
43
229
Fine needle aspiration of a neck lymph node demonstrating metastatic keratinizing squamous cell carcinoma. A primary lesion was found at the base of tongue.
#PathArt
#Pathology
#CytoPath
#Cytology
4
51
235
25
44
232
Bronchoalveolar lavage revealing a microorganism. What is your diagnosis? Answer:
#PathArt
#IDTwitter
#PathTwitter
#MedTwitter
20
61
229
Cervical Pap test revealing squamous cells showing what viral cytopathic effect? Answer:
#PathArt
#PathTwitter
#CytoPath
#MedTwitter
#IDTwitter
27
55
229
Fine needle aspiration of a lung mass reveals squamous cell carcinoma. Keratinizing tumor cells are seen.
#PathTwitter
#PathArt
#CytoPath
#Cytopathology
#Cytology
#MedTwitter
5
48
225
Thyroid resection specimen revealing tumor cells with orphan Annie-eye nuclei. What is your diagnosis? Answer:
#PathArt
#Pathology
#PathTwitter
#MedTwitter
25
48
224
Thyroid resection specimen revealing tumor cells with orphan Annie-eye nuclei. What is your diagnosis? Answer:
#PathArt
#Pathology
#PathTwitter
#MedTwitter
24
43
223
Bronchoalveolar lavage revealing larvae of what species? Answer:
#PathTwitter
#IDTwitter
#MedTwitter
11
42
224
Cerebrospinal fluid revealing large, mitotically active cells. What is the diagnosis? Answer:
#PathArt
#PathTwitter
#MedTwitter
#CytoPath
17
44
221
Lung resection specimen revealing a mycetoma filled with Coccidioides immitis. Ruptured spherules are seen releasing endospores along with hyphae formation.
#PathArt
#PathTwitter
#Pathology
#Microbiology
7
61
220
Calcified ova found in a bladder biopsy. What infectious organism is seen? Answer:
#PathTwitter
#MedTwitter
#IDTwitter
#PathArt
20
62
218
31
41
219
Cerebrospinal fluid showing variably sized encapsulated yeasts of what species? Answer:
#PathArt
#PathTwitter
#IDTwitter
#MedTwitter
#CytoPath
#Cytology
13
52
217
Thyroidectomy showing normal thyroid follicles filled with colloid.
#PathTwitter
#PathArt
#MedTwitter
3
33
212
Thyroidectomy revealing eosinophilic tumor cells with tall morphology adjacent to normal thyroid tissue. What is the diagnosis? Answer:
#PathArt
#PathTwitter
#MedTwitter
29
47
218
Fine needle aspiration of a neck lymph node. What is the diagnosis? Answer:
#PathArt
#PathTwitter
#Cytopath
#Pathology
#Cytology
30
40
215
Fine needle aspiration if a lymph node revealing metastatic melanoma. Melanin production is seen in many tumor cells.
#PathTwitter
#CytoPath
#Cytology
#PathArt
#MedTwitter
6
57
216
Excision of a left parotid gland mass from a 50 year old woman revealing what type of tumor? Answer:
#PathArt
#PathTwitter
#MedTwitter
21
58
210
Cervical Pap test revealing the protozoan parasite Trichomonas vaginalis. Pear shaped organisms are seen surrounding a superficial squamous cell.
#PathTwitter
#PathArt
#CytoPath
#Cytology
#Parasites
#Microbiology
#IDTwitter
#MedTwitter
6
49
206
12
53
210
Appendectomy revealing goblet cell carcinoma. Goblet-like mucinous tumor cells are pictured.
#PathTwitter
#PathArt
#MedTwitter
2
41
207
Endoscopic fine needle aspiration of a mass in the head of the pancreas. What is the diagnosis? Answer:
#PathArt
#PathTwitter
#Cytopath
#Pathology
17
39
210
Pap test cytology reveals squamous cells that have multinucleation, nuclear margination, and nuclear molding. What is the diagnosis? Answer:
#CytoPath
#Cytology
#Cytopathology
#PathArt
#IDTwitter
#MedTwitter
32
39
203
Thyroid resection specimen revealing classic papillary thyroid carcinoma adjacent to normal thyroid tissue. Orphan Annie-eye nuclei are seen.
#PathArt
#Pathology
#PathTwitter
3
37
205
Fine needle aspiration of a lung mass revealing what type of tumor cells? Answer:
#CytoPath
#PathArt
#PathTwitter
#MedTwitter
26
36
200
Ascites fluid containing metastatic cholangiocarcinoma. Tumor cells with signet ring morphology are seen. What cytologic preparation is seen here? Answer:
#CytoPath
#Cytopathology
#PathArt
#MedTwitter
#PathTwitter
12
44
203
34
43
200
Fine needle aspiration of a salivary gland revealing abundant crystalloid structures. What type of crystal is seen? Answer:
#PathTwitter
#CytoPath
#MedTwitter
#Cytology
#PathArt
7
55
200
Thyroidectomy showing lymphocytic (Hashimoto's) thyroiditis. A lymphocytic infiltrate with germinal center formation is seen adjacent to thyroid follicles with oncocytic change.
#PathTwitter
#PathArt
#CytoPath
#MedTwitter
3
41
199
Cervical Papanicolaou test revealing what organism? Answer:
#IDTwitter
#MedTwitter
#PathTwitter
#CytoPath
#PathArt
#Cytology
20
42
197